Gestational diabetes is also known to increase the risk of caesarean delivery in expecting mothers, due to the larger birth weights of infants born to these mothers. The rate of cesarean sections in the United States is at an all time high, as professor Martin discussed in lecture. Best outcomes estimate that an average of 5-10% of births should result in c-sections, yet as a country we are between double and triple that rate (Martin, 2015, Lecture #1). Recent studies have shown that exercise can lower the risk of having cesarean sections. In a study titled Exercise during pregnancy and gestational diabetes-related adverse effects: a randomized controlled trial, researchers took it upon themselves to examine the effects of exercise on …show more content…
Macrosomia can also result in a serious complication known as shoulder dystocia. Shoulder dystocia is a case of obstructed labor where the infant cannot pass through the vagina at the shoulder. Should dystocia is a serious condition and if unresolved can result in fetal injury and rarely, death (Ladewig et al., 2014). Evidence is arising supporting exercise and its relationship with macrosomia. One particular study found a 58% decrease in the odds of having a baby with macrosomia, after undergoing exercise intervention. This particular exercise intervention consisted of moderate intensity resistance and aerobic exercises three times a week (Barakat et al., 2013). When the life and health of the baby is it risk it is crucial that mothers do all that they can to reduce the risk of any harm on the baby. As most people know, giving birth can be extremely painful. During the first stage of labor, pain is caused by dilation of the mother cervix, stretching of the lower uterine segment, and pressure on structures surrounding the uterus. The second stage of labor is characterized by a lack of oxygen to the tissues in the uterus, distension of the vagina, while pain during the third stage of labor is caused by uterine contractions, and dilation of the cervix as the mother expels the placenta (Ladewig et al., 2014). Overall, giving birth requires expending an enormous amount of energy and is exhausting on the body and mind with its association with
Pregnancy and childbirth are a part of nature. Delivering a child can be a beautiful experience. However, delivery can also be very painful and can last for days.
First, the muscle we call a uterus became intriguing to me in the Spring and Summer of 2014. During this time, I was working towards my DONA certification, I was blessed to attend and coach three births. All three were performed naturally. One was in the hospital and two were in a local birth center. One of the two in the birthing center was breech and the baby was immediately rushed to the NICU. The ability a woman exhibits during the birthing process is so powerful and empowering. Also,
Shoulder Dystocia is an uncommon obstetrical emergency that happens when the head of a fetus is born but the anterior shoulder cannot pass under the pubic Symphysis. After the head is born, it retracts against the perineum, much like a turtle’s head drawing into its shell (“turtle sign”) (Murray and McKinney, 2010). Although the head is out of the birth canal, the infant suffers from lack of respiration because the chest is still inside the body. Shoulder Dystocia is more likely to occur because of the following reasons; mom has a history of shoulder dystocia with a previous birth, maternal diabetes, obesity, induced labor, macrosomia (birth weight of more than 8 pounds or 4000 grams), and maternal pelvic abnormalities (Tan, Mohamed, & Dharmaraj, 2016).
Levels of oxytocin increases throughout the labor and it reaches its peak just before birth. Moving around during labor is one of the most important aspect to help the mother’s uterus to contract and in response to the contraction, the baby descend into the cervix. Induced labor usually requires an intravenous line and continuous electronic fetal monitoring, which makes it really difficult for the laboring mother to move around. Continuous emotional and physical support helps the expectant mothers to forge ahead. The instructor showed the participant’s different positions to assume once the intensity of the labor is high. She encouraged the partners to try the positions with their spouse. The instructor also emphasized that to relived back
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However, regular exercise will greatly improve the woman's and her baby’s overall health and wellness. For the most part, exercise is safe during pregnancy. Despite what one may think, “physical activity does not increase your risk of miscarriage, low birth weight, or early delivery” (“Exercise During Pregnancy”, 2016), and it is actually recommended to remain as active as possible. Staying active during pregnancy can actually benefit the mind, body, and brain of the developing fetus. It is shown that exercise during pregnancy can lead to a healthier heart for the newborn. Exercise improves the vascular smooth muscle of the child’s heart and promotes their arteries to be more efficient. Heart disease is one of the leading causes of death in humans, so anything that can be done early on to decrease the risk is certainly worth your
Complications to the fetus include: macrosomia, hypoglycemia, neural tube defects, preterm delivery, shoulder dystocia, hyperbilirubinemia, and being large for gestational age (Elkins & Smith Taylor, 2013) (Kim, 2010). So, the purpose of this paper is to discuss the care management strategies to promote a healthy lifestyle in obese pregnant women diagnosed with gestational diabetes mellitus, to control their gestational diabetes mellitus without the intervention of insulin treatment and to prevent complications from gestational diabetes mellitus.
Maintaining fitness whilst you're pregnant will help you both physically and psychologically, preparing you for labour as well as helping to reduce many common complaints such as tiredness, varicose veins and swollen ankles. Regular exercise can help alleviate discomfort such as lower back pain and even help reduce the risk of pre-eclampsia and gestational diabetes.
Childbirth is a beautiful thing. After the hours of labor, there is nothing more special than having the newly mother able to hold her child the minute after it’s born. It makes the pain that you had just experienced go away because all that matters in the world is that newborn child in your arms. During labor, every woman has her own experience but one common experience is the pain. According to Kitzinger (1978) “Labor pain can have negative or positive meaning, depending on whether the child is wanted, the interaction of the laboring woman with those attending her, her sense of ease or dis-ease in the environment provided for birth, her relationship with the father of her child and her attitude to her body throughout the reproductive
You do not want to do anything that can place the baby in any type of harm. You want to stay healthy, stay away from dangerous stunts, and not workout more than you are supposed to. How much is too much? Well when you are lifting you do not want to lift more than what you are supposed to, which is 25lbs and occasionally 50lbs. Making sure you BPM is under 140. Not only in exercises is where you have to be careful when pregnant, sudden movements like moving side to side can be dangerous, another workout that is effective but also dangerous is stretching hamstring and touching toes, keep in mind that pregnancy causes joints to be looser so muscles injuries are highly risky during
Pregnancy is a challenging time for a woman, and receiving a GDM diagnosis makes this time even more stressful. Furthermore, GDM rates in the developed world are undergoing a substantial increase as a result of increased obesity, maternal age, and migration of women from areas with a high risk of GDM (Carolan, 2013). In light of this, the role of the perinatal nurse is becoming increasingly important. An informed, caring and capable perinatal nurse is an essential part of a care plan that helps a woman with GDM deal with the constant tests, dietary restrictions, regular glucose monitoring, possible insulin injections, and all the other stresses that go along with this complication to her pregnancy.
During this research sources of pain for the stages of labor and birthing process for an uncomplicated pregnancy it was found that there are variables that can make the process of choosing pain reliefs through this time challenging. However, through patient assessments and the development of a teaching plan the medical professionals can pinpoint
Childbirth can be described as one of the most rewarding and also painful experiences in a woman’s life. Most women choose some type of method to ease pain, however, there has been a lot of controversy over which pain management method is the most effective. According to the CDC (Center for Disease Control), In 2013, there were 3,932,181 births recorded in the United States, 32.7% of those births were surgical procedures. In 2012, 1.36% of recorded births occurred out-of-hospital, meaning these births took place mostly in homes or birthing centers [F. MacDorman, M., Matthews, T., & Declercq, E. (2014, March 4)]. Without the option of medicine that hospitals provide, how were these women able to manage their pain during labor and delivery?
Gestational diabetes is a glucose intolerance that develops during pregnancy. Early diagnosis and effective treatment are important because gestational diabetes can cause serious maternal and fetal complications. Diet and exercise are the first line treatment options of gestational diabetes, while insulin therapy is the first line medical treatment option. Nurses’ play an important role in education and support of gestational diabetes because they provide day-to-day care for their patients. In this paper I will discuss the increasing prevalence of gestational diabetes mellitus, as well as the nurses’ role in caring for patients with gestational diabetes mellitus and improving patient outcomes.
The majority of pregnant women hopes to have a smooth pregnancy and an easy, natural childbirth. Despite this, undesirable weight gain in mothers (Kowal, Kuk, & Tamim, 2012) and the instances of caesarean birth (Domenjoz, Kayser, & Boulvain, 2014) have been very prevalent in recent years. However, there are many lifestyle choices which women can make during pregnancy that can decrease the risk of complications, as well as other lifestyle choices which can increase the risk of complications during pregnancy. I am interested in the effects that a physically active lifestyle has during pregnancy. Some common concerns are that physical activity during pregnancy lowers the birth weight of the child, as well as increases risk of premature delivery and hospitalization during pregnancy (Tinloy et al., 2014). I am looking to approach this topic in three segments. The first is concerned with how physical activity affects the mother during all three trimesters of pregnancy. The second is concerned with the effects of physical activity during pregnancy on the birth of the child. The final is focused on the effects that a mother’s physical activity during pregnancy will have on the health of her child. This paper is aimed to cover the three main areas of concern about physical activity during pregnancy. It will cover the potential benefits or drawbacks of physical activity during pregnancy for the mother during pregnancy and birth, as well as for the child in the hopes that it can